Music intervention as a strategy to reduce preoperative anxiety: an umbrella review
Yang KL, Detroyer E, Niu MM, Hoogma DF, Tian JH, Rex S, Milisen K
BMC anesthesiology · 6 citations
How it was studied
- Design
- Meta-analysis (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- University or hospital
- KU Leuven
- Government
- China Scholarship Council
- Government
- Chinese Scholarship Council
- Grants
- China Scholarship Council (No. 202106180027)
Based on 3 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2025-08-20 · BMC Anesthesiol · vol. 25 · issue 1 · p. 410
- Publisher
- BioMed Central
- Cited
- 10 citations · more than 99% of similar papers · 10.9× the field average
- Impact
- Top 10% most cited in its field
- References
- 85 works
- Access
- Open access (journal) · CC-BY-NC-ND
- Research areas
- Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Family and Patient Care in Intensive Care Units
- Keywords
- Anxiety, Medicine, Cochrane Library, Checklist, CINAHL, Intervention (counseling), Systematic review, MEDLINE, Psychological intervention, Physical therapy, Meta-analysis, Psychiatry, Internal medicine, Psychology
- MeSH
- humans, treatment outcome, music therapy, preoperative care, surgical procedures, operative, anxiety, adolescent, adult, aged, aged, 80 and over, middle aged, female, male, young adult, systematic reviews as topic
7 authors
From BE, CN
- Ke-Lu YangKU Leuven
- Elke DetroyerKU Leuven
- Mingming NiuXijing Hospital
- Danny Feike HoogmaKU Leuven
- Jin-Hui TianLanzhou University
- Steffen RexKU Leuven
Abstract
Background
Preoperative anxiety is pervasive among patients awaiting surgical procedures and is associated with an increased risk of postoperative complications. Music intervention is a promising strategy to alleviate preoperative anxiety levels and is easily implementable even in busy clinical settings. Our objective was to conduct an umbrella review of systematic reviews studying the efficacy of music intervention in reducing preoperative anxiety among adult patients.
Methods
To identify systematic reviews assessing the effects of music intervention on preoperative anxiety in adult surgical patients, we retrieved MEDLINE via PubMed, EMBASE, CINAHL, and the Cochrane Library from inception until 22 August 2024. The primary outcome was to review the overall efficacy of music intervention in reducing preoperative anxiety levels. In addition, specific details regarding the implementation of music intervention were also summarized. We assessed the quality of the included systematic reviews by using A MeaSurement Tool to Assess Systematic Reviews 2 checklist.
Results
Six eligible systematic reviews (i.e. one high-quality, four moderate-quality, and one low-quality review) analyzing 40 primary studies were included. The reporting on the intervention content and its implementation process was often unsatisfactory, with some key information missing. The pooled results on the reduction of preoperative anxiety using music intervention were statistically significant (MD = -5.20, 95%CI (-6.32, -4.07), I2 = 49%). Subgroup analyses revealed that music intervention had a more pronounced effect when the duration of the intervention was 20 min or longer and in patients younger than 60 years of age.
Conclusion
Music intervention may have a beneficial effect on reducing preoperative anxiety levels. However, to optimize the integration of music intervention into routine clinical practice, high-quality evidence and especially clearer reporting on the implementation methods are required.
Registration
PROSPERO (CRD42022333246).
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).
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